Active NPI
Kathryn Suzanne Hoffman, RDN, LD
- Registered Dietitian
- Lees Summit, MO
National Provider Identifier
1528549367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2017036207
- Practice address
- 3720 NE Troon Dr
Lees Summit, MO 64064-1988 - Phone
- (515) 537-4916
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2058 | KS | |
| Registered Dietitian | 133V00000X | 2017036207 | MO | Primary |
Addresses
Primary practice location
3720 NE Troon Dr
Lees Summit, MO 64064-1988
Mailing address
12832 Saint Andrews Dr
Kansas City, MO 64145-1230
Phone (515) 537-4916
Other practice location 1
10520 Barkley St Ste 140
Overland Park, KS 66212-1823
Phone (515) 537-4916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017036207 | MO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wearmouth Wellness LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
10520 Barkley St
Ste 140
Overland Park, KS 66212
Phone (816) 679-6149
3720 NE Troon Dr
Lees Summit, MO 64064
Phone (816) 508-5934
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1528549367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12832 SAINT ANDREWS DR",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641451230",
"telephone_number": "515-537-4916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 NE TROON DR",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640641988",
"telephone_number": "515-537-4916"
}
],
"practiceLocations": [
{
"address_1": "10520 Barkley St Ste 140",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662121823",
"country_code": "US",
"telephone_number": "515-537-4916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOFFMAN",
"first_name": "KATHRYN",
"middle_name": "SUZANNE",
"credential": "RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "2058",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2017036207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.